LGUSL 2011 Tryout Registration Form
 

Registration

 
All players planning to attend registration for 2012 BU12 teams or younger are encouraged to preregister by answering the questions below. Thank you.

If you are registering Friday or afterwards for tryouts that begin the following weekend, or have already begun, please contact both Dale Greenley (dalegreenley@yahoo.com) and Steve White (smwhite@sbcglobal.net) to make sure your player gets properly added for consideration.

We look forward to seeing you soon.

*
1. 2012 Fall Playing League Age Group

*
2. Gender

*
3. Player's first name?

*
4. Player's last name?

*
5. Parent name

6. Alternative guardian contact identity (optional)

*
7. Primary email contact address (this address will be used to notify families of tryout results.  If none, please list "none" and include a telephone number in response to Question No. 9).

8. Secondary email address (if applicable).

*
9. Primary telephone contact number (please list area code)

10. Secondary telephone contact number (please list area code)

*
11. In what type of soccer league did you play, if any, this past Fall 2011?

*
12. With what soccer league were you registered to play in the Fall 2011?

13. What was the name of the team for which you played this past Fall 2011 (if none, please state none)?